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Ms. Connie Lynn Clark, MSED,LCPC
Counselor in Springfield, Illinois
NPI 1205913191

Connie Lynn Clark is a Counselor based in Springfield, IL. Connie Lynn Clark practices in Springfield, IL and has the professional credentials of MSED,LCPC. The NPI Number for Connie Lynn Clark is 1205913191 and holds a License No. 180.006792 (Illinois).

The current practice location address for Connie Lynn Clark is 955 S Durkin Dr, Springfield, IL and can be reached out via phone at 217-753-1288.

Location: 955 S Durkin Dr, Springfield, IL, 62704-1370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205913191
Provider Name
Connie Lynn Clark
Credential
MSED,LCPC
Provider Entity Type
Individual
Gender
Female
Address
955 S Durkin Dr, Springfield, IL, 62704-1370
Phone Number
217-753-1288
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
955 S Durkin Dr
City
Springfield
State
Illinois
Zip
62704-1370
Phone Number
217-753-1288
Fax Number
person
Provider Business Mailing Address Details
Address
955 S Durkin Dr
City
Springfield
State
Illinois
Zip
62704-1370
Phone Number
217-753-1288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.006792 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.006792 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.006792 (Illinois)
Definition
Definition to come...
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